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Organization

M E R EDDY COUNTY INC

Active
Other names
CARLSBAD MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GENNETH A EASLEY (PRESIDENT - MANAGING EMPLOYEE)
(575) 885-4805
Entity
Organization

Contact information

Practice address
1004 W PIERCE, CARLSBAD, NM 88220
(575) 885-4805
(575) 885-8833
Mailing address
1004 W PIERCE, CARLSBAD, NM 88220
(575) 885-4805
(575) 885-8833

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q5012
NM
Enumeration date
02/09/2007
Last updated
02/08/2012
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